FDA Adverse Event Malfunction Summary report: N

NA

MDR report key: 22868929 · Received August 21, 2025

Report

Report Number
8020021-2025-00178
Event Type
Malfunction
Date Received
August 21, 2025
Date of Event
July 23, 2025
Report Date
August 21, 2025
Manufacturer
GE HEALTHCARE AUSTRIA GMBH & CO OG
Product Code
ITX
PMA / PMN Number
K230346
Removal / Correction Number
Z-0865-2024
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

LEGAL MANUFACTURER: HCS KRETZ - TIEFENBACH 15 AUSTRIA ZIPF OBEROSTERREICH, 4871. GE HEALTHCARE REPORTED A FIELD MODIFICATION FOR THIS IC9-RS DOUBLE IMAGE MALFUNCTION PER 21 CFR 806 ON 29-DEC-2023. THE US-FDA RECALL NUMBER IS Z-0865-2024. CUSTOMERS WERE SENT A LETTER EXPLAINING THE ISSUE AND REQUESTING THE CUSTOMER TO PERFORM AN INSPECTION TEST TO DETERMINE IF THE PROBE IS MALFUNCTIONING. GE HEALTHCARE HAS DETERMINED THE CAUSE OF THE MALFUNCTIONING PROBE TO BE A PROBE COMPONENT. TO CORRECT THIS ISSUE, GE HEALTHCARE HAS REPLACED THIS MALFUNCTIONING PROBE

Description of Event or Problem · 0

THE CUSTOMER REPORTED SEEING A DOUBLE IMAGE WHILE USING THEIR IC9-RS DIAGNOSTIC ULTRASOUND PROBE TO GE HEALTHCARE. IT WAS CONCLUDED THE IC9-RS DIAGNOSTIC ULTRASOUND PROBE WAS IDENTIFIED AS HAVING A COMPONENT MALFUNCTION DESCRIBED IN US-FDA RECALL NO. Z-0865-2024 INITIATED BY GE HEALTHCARE ON 29-DEC-2023. THE PROBE WAS IN USE AND THERE WAS NO IMPACT TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
189775 NA DIAGNOSTIC ULTRASOUND TRANSDUCER ITX GE HEALTHCARE AUSTRIA GMBH & CO OG IC9-RS

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown